Palmetto Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HPC-117 Issued in SC

Legal business name

PALMETTO HOSPICE, LLC

Practice address

1204 Lexington Avenue
Suite 2a
Irmo, SC 29063-2862

Phone

(803) 749-9120

Fax

(803) 749-9128

NPI assigned

Feb 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Angela Dunn Olsen, LMSW

Title

Administrator

Phone

(803) 749-9120

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104960871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 LEXINGTON ST",
            "address_2": "SUITE 2A",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632862",
            "telephone_number": "803-749-9120",
            "fax_number": "803-749-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 LEXINGTON AVENUE",
            "address_2": "SUITE 2A",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632862",
            "telephone_number": "803-749-9120",
            "fax_number": "803-749-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DUNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-749-9120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Irmo, SC
• Providers in Irmo, SC by specialty
• Community Based Hospice Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.